VBS 2010 Registration Form
August 9-13, 9am-12pm; Pre-K thru Grade 6; $20 per child/ $60 family maximum
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indicates required fields
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Parent Name:
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Home Address:
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Phone:
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Emergency Phone:
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Email:
Home Church:
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Child's Name:
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Grade in Sept.:
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Known Allergies:
Child's Name:
Grade in Sept.:
Known Allergies:
Child's Name:
Grade in Sept.:
Known Allergies:
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Are you a parent interested in volunteering?:
Yes, please contact me.
Possibly, please contact me.
Not at this time.
Please click on the Submit button to submit the completed form. Contact Sharon Mallon with any questions (nmcc.ce@cshore.com or 203-421-3241).
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